Caregiver Perspectives on Physiotherapy Treatment for Paediatric Burns in the United Arab Emirates

Alzaabi, Fatima Sultan Mohamed Muftah; Bairapareddy, Kalyana Chakravarthy; Alaparthi, Gopala Krishna; Hegazy, Fatma A.

doi:10.2147/ppa.s363312

Cited by 5 publications

(8 citation statements)

References 18 publications

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“…All participants fulfilling the inclusion criteria and reporting within the timeframe (n=53) were included in the study. Caregivers of children aged 1-5 years (21), with a total surface area of burn greater than 20% (15), and those with 3-4 weeks of experience in post-burn physiotherapy management (15) were included. Exclusion criteria comprised caregivers not actively involved in the daily care of the pediatric burn patient, those unable to understand and communicate effectively in English or Urdu, and patients arriving at the rehabilitation center without a caregiver.…”

Section: Methodsmentioning

confidence: 99%

“…It also included questions on adherence to the rehabilitation plan, ending with an openended question soliciting suggestions for improving the physiotherapy experience. Interpretation of perception scores was categorized as positive (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20), neutral (21)(22)(23)(24)(25)(26)(27)(28)(29)(30), and negative (31-50). Adherence scores were categorized as high (5)(6)(7)(8)(9)(10)(11)(12)(13)(14), moderate (15)(16)(17)(18)(19), and low (20)(21)(22)(23)...…”

Section: Methodsmentioning

confidence: 99%

“…The study included fifty-five caregivers and utilized a selfadministered questionnaire to explore caregivers' experiences, knowledge, burden, attitude, compliance, and satisfaction with physiotherapy rehabilitation. The findings revealed that caregivers had a favorable attitude towards physiotherapy management, were well-informed about its benefits, and expressed high levels of satisfaction with the services provided (15). Another global study by Yakupu et al in 2022 analyzed the epidemiological characteristics and trends of burns using data from the Global Burden of Disease 2019.…”

Section: Introductionmentioning

confidence: 99%

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Perception of Caregiver on Physical Therapy Management for Pediatric Burn Patients

Ishfaq,

Sadiq,

Rizwan

et al. 2024

JHRR

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Background: Burn injuries are among the most severe types of child injuries, leading to significant functional, social, and psychological disabilities. Physiotherapy plays a crucial role in the rehabilitation of pediatric burn patients, and caregivers are essential in facilitating the treatment process. Understanding caregivers' perceptions and adherence to physiotherapy treatment can inform better care strategies. Objective: This study aimed to assess the perceptions of caregivers towards physiotherapy treatment for pediatric burn patients and to evaluate adherence to prescribed exercise regimens. Methods: A descriptive cross-sectional study was conducted from June 2023 to December 2023. Data were collected from caregivers at two public hospitals and one private rehabilitation center using a non-probability convenience sampling method. The sample included 53 caregivers of children aged 1-5 years with burn injuries covering more than 20% of their total body surface area and who had been undergoing physiotherapy for 3-4 weeks. Exclusion criteria were caregivers not actively involved in daily care, those unable to communicate in English or Urdu, and patients without a caregiver. Data were collected using a semi-structured questionnaire based on the Measure of Processes of Care (MPOC). The questionnaire was validated and had a Cronbach’s alpha of 0.703. Data were analyzed using SPSS version 25, with descriptive statistics presented as frequencies, percentages, means, and standard deviations. Results: Among the caregivers, 64.2% were mothers, 15.1% were fathers, and 20.8% were other relatives. A total of 81.1% of caregivers agreed and 18.9% strongly agreed that the physiotherapist encouraged active participation in decision-making. Comfort in discussing concerns was reported by 69.3% agreeing and 18.9% strongly agreeing. Emotional and social aspects were adequately addressed according to 39.6% of caregivers, with 41.5% neutral and 15.5% disagreeing. Clear communication of treatment plans was reported by 75.5% agreeing and 24.5% neutral. Adherence to exercise routines varied, with 47.2% often, 32.1% always, and 20.8% sometimes helping with exercises. However, 39.6% reported that the child always refused to do exercises, and 64.2% noted the child always complained of pain during therapy. Conclusion: The study concluded that caregivers generally have a positive perception of physiotherapy for pediatric burn patients and actively participate in their care. Challenges such as pain during exercises and time constraints highlight the need for enhanced support and communication to improve adherence and outcomes.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Perception of Caregiver on Physical Therapy Management for Pediatric Burn Patients

Ishfaq,

Sadiq,

Rizwan

et al. 2024

JHRR

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“…It is also essential to ensure the best possible range of motion and functional status, thus preventing the development of contractures. Compression garments and physiotherapy play a significant role in this [ 13 , 14 ]. Scars that form during the healing of thermal injuries often become hypertrophic, and their management is problematic.…”

Section: Introductionmentioning

confidence: 99%

Mid-Term Follow-Up Study of Children Undergoing Autologous Skin Transplantation for Burns

Válik

Harangozó

Garami

et al. 2023

Life

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Deep partial and full-thickness burns require surgical treatment with autologous skin grafts after necrectomy, which is the generally accepted way to achieve permanent wound coverage. This study sought to examine the grafted and donor areas of children who underwent autologous skin transplantation, using two assessment scales to determine the severity of the scarring and the cosmetic outcome during long-term follow-up. At the Surgical Unit of the Department of Paediatrics of the University of Pécs, between 1 January 2015 and 31 December 2019, children who had been admitted consecutively and received autologous skin transplantation were analyzed. Twenty patients met the inclusion criteria in this retrospective cohort study. The authors assessed the results using the Patient and Observer Scar Assessment Scale (POSAS) and the Vancouver Scar Scale (VSS). There was a significant difference in how parents and examiners perceived the children’s scars. In the evaluation of the observer scale, the most critical variables for the area of skin grafted were relief and thickness. Besides color, relief was the worst clinical characteristic on the patient scale. However, when medical professionals evaluated the donor site, significantly better results were obtained compared to the transplanted area (average observer scale score: 1.4 and 2.35, p = 0.001; VSS: 0.85 vs. 2.60, p < 0.001), yet it was similar to the graft site in the parents’ opinion (Patient Scale: 2.95 and 4.45, p = 0.181).

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“…Burns are tissue damage or loss caused by contact with very high temperatures such as heat (fire, hot liquids/fats, hot steam), radiation, electricity, and chemicals (Alzaabi et al, 2022). According to the World Health Organization, traumatic burns are the fourth leading cause of accidental injury, with an estimated 11 million cases resulting in approximately 180,000 deaths each year.…”

Section: Introductionmentioning

confidence: 99%

Effect of Stretching Exercise to Increase Joint Range of Motion and Functional Ability in Post-Burn Shoulder Contracture Patients: A Case Report

Dewi,

Perdana,

Hamidah

2023

Ahmar Metastasis Health J.

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Burns are tissue damage or loss caused by contact with high temperatures, such as heat, radiation, electricity, and chemicals. Causes damage to the epidermis and underlying soft tissue, bone, and muscle, placing burn victims at risk for contractures and joint deformities. Upper extremity function is critical to the performance of activities of daily living. Interventions such as surgery, pharmacological therapy, and nutritional support are important in aiding recovery and improving clinical outcomes after severe burns. The aimed to determine the effect of stretching exercises on increasing range of motion and functional ability in post-burn shoulder contracture. This study used the case study method which was conducted on post-shoulder contracture burn patients at Central General Hospital Dr. I.G.N.G Ngoerah Bali in February 2023. Pain measurements were taken using the Numeric Rating Scale (NRS). Measurement of muscle strength using Manual Muscle Testing (MMT). Goniometer to measure the Range of Joint Motion (ROM). Shoulder Pain and Disability Index (SPADI) to measure functional ability. SPADI is a quality of life questionnaire consisting of 13 items to evaluate 5 items for pain and 8 items for impairment. After 3 times of physiotherapy, the results showed a decrease in silent pain at T0 = 2 to T3 = 1. Tenderness at T0 = 4 to T3 = 2. Movement pain T0 = 5 to T3 = 3. Increased muscle strength T0 value 2, that is not full ROM to T3 value 3, namely full ROM and can fight gravity. Increased range of motion in active and passive flexion, extension, abduction, adduction, horizontal, abduction and horizontal adduction, internal and external rotation. The increase in the functional ability of SPADI T0 = 53% then decreased to T3 = 35%. There is a significant decrease in the measurement of functional ability using SPADI, which means the patient's functional ability is increasing. The conclusion is stretching exercises are effective for increasing the range of motion and functional ability of patients with post-burn shoulder contractures. Therefore, stretching exercises should be used to provide proper burn care to patients in hospitals and burn centers.

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Caregiver Perspectives on Physiotherapy Treatment for Paediatric Burns in the United Arab Emirates

Cited by 5 publications

References 18 publications

Perception of Caregiver on Physical Therapy Management for Pediatric Burn Patients

Perception of Caregiver on Physical Therapy Management for Pediatric Burn Patients

Mid-Term Follow-Up Study of Children Undergoing Autologous Skin Transplantation for Burns

Effect of Stretching Exercise to Increase Joint Range of Motion and Functional Ability in Post-Burn Shoulder Contracture Patients: A Case Report

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